NPI | 1629513460 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 102947) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 102947) |
101YM0800X Counselor Mental Health (Licence: CA ASW84276) | |
106S00000X Behavior Technician | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-01-04 |
Last Update Date | 2023-08-26 |